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Public services in Hertfordshire

public services

Many of the services we use each day are provided by a wide range of public bodies; local councils, the Health Service and the Police Service; sometimes individually but often in co-operation with each other. 

Local Councils

Local government in Hertfordshire has three layers, each providing different services.

  • The County Council provides many vital services across the whole of the county, many of a strategic level. These cover many aspects of everyday life, such as fire and rescue, education, social services and maintaining the county's roads.
  • The next tier of local government is provided by the ten District and Borough Councils. They provide different, often more local, services in their District or Borough. Some services they have to provide for the public by law, other services they can opt to provide if they wish.
  • The final tier is that of Town and Parish Councils. These Councils provide very local services and they vary dramatically. Larger Town Councils, provide a much wider range of services than small rural parishes. There are 129 parishes in Hertfordshire, which may have a Town or Parish Council or a Parish Meeting

Local NHS health services

  •  From 1 April 2013 the NHS has gone through a number of changes.  Below are the organisations that now cover Hertfordshire.

Clinical Commissioning Groups - these groups are led by local GPs and are responsible for commissioning (planning and buying) health services on behalf of local people.

In Hertfordshire we have two clinical commissioning groups

  • East and North Hertfordshire Clinical Commissioning Group which covers a population of around 573,000 people registered with GPs in North Herts (Except Royston) Stevenage, Welwyn Hatfield, Broxbourne and East Herts.
  • Herts Valleys Clinical Commissioning Group covers a population of more than 592,000 people registered with GPs in Dacorum, Hertsmere, St Albans, Three Rivers and Watford.

Central Eastern Commissioning Support Unit
The Commissioning Support Unit (CSU) provides a wide-ranging portfolio of services that includes contracting support, business intelligence, medicines management, continuing care placements, ICT and communications and engagement to the CCGs in Bedfordshire, Essex, Hertfordshire, and Luton.

The CSU covers Hertfordshire, Essex, Luton and Bedfordshire.

NHS England
NHS England commissions primary care health services - those provided by GPs, dentists, community pharmacists and optometrists.

Area Teams of NHS England
Hertfordshire and South Midlands is one of the eight area teams (ATs) that make up the Midlands and East of England region and is one of the largest ATs, serving a population of 2.7 million people. It's function is to oversee the commissioning work of our CCGs.

Public Health
The public health team transferred to Hertfordshire County Council.  Their responsibilities include:

  • Sexual health services
  • Child measurement programme
  • NHS Health Check
  • Alcohol and drugs
  • Stop smoking services
  • Public health advice to NHS commissioners
  • Health services are delivered through a series of NHS Trusts. East and North Herts NHS Trust and West Herts NHS Trust provide hospital based treatment. Hertfordshire Community NHS Trust (HCT) provides community healthcare and Hertfordshire Partnership NHS Foundation Trust (HPFT) provides mental health services and specialist learning disability services.  
  • The East of England Ambulance Service covers Hertfordshire, Bedfordshire, Essex, Cambridgeshire, Suffolk and Norfolk. It provides patient transport services to hospitals throughout the area, both emergency and non-emergency journeys every year.

Police Service in Hertfordshire

  • The Hertfordshire Constabulary provides the policing service to the whole of Hertfordshire. Led by the Chief Constable, it works closely with other agencies and the public, to keep Hertfordshire one of the safest in England.
  • The new Police and Crime Commissioner's (PCC) role is to ensure the policing needs of local communities are met as effectively as possible; making sure that the Constabulary is accountable; setting the budget and appointing Chief Officers for Hertfordshire Constabulary. The PCC does not control operational policing - that is the responsibility of the Chief Constable.  The Hertfordshire Police and Crime Panel (PCP) has been established to scrutinise and support the work of the PCC. The PCC will be required to consult with the PCP on his or her plans and budget for policing, as well as the council tax precept and certain key appointments.